Please describe the concern or issue. The more specific your information, the better we will be able to address your concern or complaint.*

Problem Location

Street Number*

Street Name:

Nearest Cross Street

City: City of Snohomish only

State: Washington

Zip Code:

Photograph: You can upload an image of the problem or location

Convert to PDF?(DOC, DOCX, XLS, XLSX, TXT)

Contact Information

Please provide your name and an email or phone number if you'd like us to followup with you.

Your Name:

Phone Number:

Email Address:

Your Address:

Street Number and Street Name:

Address Line 2:

City:

State:

Zip Code:

Preferred Contact Method:*

Public Records Notice

Under the Public Records Act, chapter 42.56 RCW, the information provided relating to a code violation or other complaints may be subject to public disclosure. Information revealing the identity of persons who are witnessed to crimes or who file complaints with investigative agencies may be withheld from a disclosure under RCW 42.56.240(2) . If you indicate a desire to remain anonymous, the City will seek to redact your identifying information from public records related to this complaint, but cannot promise anonymity. Moreover, in some circumstances anonymity may not be possible, such as if you are called as a witness in an enforcement action.

Do you wish to remain anonymous?*

Yes

No

If you provide an email address below, it will only be used to send you a copy of this form. It will not be saved with this report.